Emily Louise Wickersham, DO
Anatomic Pathology & Clinical Pathology Physician · Bolivar, MO
Emily Louise Wickersham, DO is an anatomic pathology & clinical pathology physician with a practice address in Bolivar, Missouri, and NPI 1093175358, issued on Feb 29, 2016. Check the license (Missouri 2024028249, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.
- Name
- Emily Louise Wickersham
- Credential
- DO
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License numbers
- 2024028249 MO
036.177695 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1500 N Oakland Ave, Bolivar, MO 65613
- Phone
- (417) 326-6000
- Enumerated
- Feb 29, 2016
- Record last updated
- Jan 15, 2026
- Medicare enrollment
- Enrolled (PECOS I20241127003054); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest anatomic pathology & clinical pathology physician records → All 348 in Missouri → Look up another NPI →
Also registered at 1500 N Oakland Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anila AbrahamPharmacist1487426540
- Garrett Alderfer, MDInternal Medicine Physician1932424603
- Stephanie Aug, PAMedical Physician Assistant1225304587
- Brandon Barnes, FNPFamily Nurse Practitioner1528910080
- Ashley BatsonClinical Social Worker1184358947
- Robert Behnke, P.T.Physical Therapist1356558167
Verify Emily Louise Wickersham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
Search for license 2024028249Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Citizens Memorial Hospital DistrictBolivar, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Emily Louise Wickersham among 348 anatomic pathology & clinical pathology physician records in Missouri
Emily Louise Wickersham, DO is one of 348 anatomic pathology & clinical pathology physician records with a practice address in Missouri. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 79% of them.
- NPI issued2016 · 79% of these records are older, 20% newer
- In a Medicare fileYes · 58% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2020 · median 2004 among the 189 with a school on file
- Record last updated2026 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anatomic Pathology & Clinical Pathology Physician providers in Missouri
There are 348 anatomic pathology & clinical pathology physician records in Missouri.
All 348 in Missouri → Every provider in Bolivar → Anatomic Pathology & Clinical Pathology Physician nationwide →
The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes
- Christina Otterness, DOBolivar, MO 656131992091284
- David Hause, M.D.Fort Leonard Wood, MO 654731164412219
- Cassie Booth, MDSpringfield, MO 658041154594976
- Steven Collum, M.D.Springfield, MO 658041093722357
- Jason Denney, M.D.Springfield, MO 658041407233604
- Christine Mitchell, M.D.Springfield, MO 658041881839132
- Nicole Pele, DOSpringfield, MO 658041972765956
- Jason SinghSpringfield, MO 658041174056469
Common questions
What is Emily Louise Wickersham, DO's NPI number?
Emily Louise Wickersham, DO's National Provider Identifier (NPI) is 1093175358, issued on Feb 29, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Emily Louise Wickersham, DO located?
The NPPES record lists a practice address at 1500 N Oakland Ave, Bolivar, MO, 65613. Phone: (417) 326-6000. Providers update this record themselves, so call before visiting.
How can I verify Emily Louise Wickersham, DO's license?
NPPES lists Missouri license number 2024028249, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.